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Evidence-based Programming for Seniors

Evidence-based Programming for Seniors. Tips for Selecting, Implementing, and Evaluating EBPs Marcia Ory, PhD, MPH Ashley Wilson, MPH Program on Healthy Aging Texas A&M Health Science Center South Padre, TX May 2012. Topic for Discussion. Audience Query. What are Evidence-based Programs?.

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Evidence-based Programming for Seniors

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  1. Evidence-based Programming for Seniors Tips for Selecting, Implementing, and Evaluating EBPs Marcia Ory, PhD, MPH Ashley Wilson, MPH Program on Healthy Aging Texas A&M Health Science Center South Padre, TX May 2012

  2. Topic for Discussion

  3. Audience Query

  4. What are Evidence-based Programs?

  5. Three Types of Evidence Adapted from Brownson et al, 2003

  6. Why the Recent Interest in EBP’s?

  7. Question

  8. Perceived Disadvantages of EBPs Online Training Modules: Evidence-based Health Promotion Programs for Older Adults

  9. Perceived Advantages to EBPs Online Training Modules: Evidence-based Health Promotion Programs for Older Adults

  10. Tiered Set of Criteria for Defining EBPs Implemented Through OAA http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Title_IIID/index.aspx

  11. Minimal Criteria

  12. Intermediate Criteria

  13. Highest-level Criteria

  14. How Does One Chose a EBP?

  15. Choosing an EBP The tasks do not always follow a sequential progression. The list provides a guide, not a strict set of steps.

  16. Step 1: Identify an important health issue among the Seniors you serve

  17. Step 2: Identify effective interventions

  18. Step 3: Establish broad-based partnerships

  19. Step 4: Select an intervention

  20. Looking for Evidence-Based Programs

  21. Is Your Community Ready to Implement Evidence-Based Health Promotion Programs?

  22. Step 5: Translate the intervention into a program

  23. Step 5: Translate the intervention into a program (cont.)

  24. Step 6: Evaluate the program

  25. Step 7: Sustain the program Elements of a sustainable infrastructure and delivery system

  26. CDSMP Example

  27. Texas Healthy Lifestyles Bexar AAA -San Antonio Area Central Texas AAA -Temple, Belton, Killeen East Texas AAA -45 counties Rio Grande AAA -El Paso Area Tarrant Count AAA -Fort Worth

  28. Texas Targets by Region

  29. Reach

  30. Recruiting: What Works?

  31. Recruiting Program Participants

  32. How to Recruit New Partners

  33. Recruiting Community Partners

  34. Quality Assurance & Program Fidelity

  35. Steps to Program Fidelity Example Fidelity Plan • For reference, view NCOA Module 4: “Assuring Program Quality” at www.ncoa.org/chamodules

  36. Balancing Treatment Fidelity and Adaptation • How to maintain fidelity to essential elements? • What is needed to tailor programs to populations? • Employ cultural, age or gender appropriate examples • Keep the principles---Contextual the examples!

  37. Considerations in Fidelity Monitoring and Enhancement Identify and operationalize essential components of original program Know if adaptations are consistent with original study Simplify data collection Maximize fidelity with “teach-back” where instructors have the opportunity to practice teaching during the trainings With appreciation from Minnesota AAA

  38. Challenges

  39. Solutions

  40. Program Evaluation

  41. Program Evaluation Tips

  42. Texas Size Successes

  43. Conclusions

  44. For more information: Program on Healthy Aging 1266 TAMU College Station, TX 77843-1266 Phone: 979-458-4202 Fax: 979-458-4264 www.programonhealthyaging.org

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